Cavernous hemangioma is the most common primary hepatic tumor. It is usually an incidental finding at autopsy but may present with abdominal pain. It is more common in females (F:M = 5:1) in whom it may rapidly increase in size during pregnancy or with estrogen therapy. Occasionally, they rupture either spontaneously or following trauma. The blood supply is usually hepatic arterial, similar to other liver tumors. Cavernous hemangiomas of the liver are usually solitary, well-circumscribed lesions with a spongy cut-surface. The size may range from 1 cm to 30 cm. The location may be subcapsular (more common) or deep parenchymal This 9 cm cavernous hemangioma was resected from the liver of a 42 y/o female who presented with 1-yr history of intermittent right upper quadrant pain. Image courtesy of: Dr. Sanjay D. Deshmukh, Professor of Pathology, Pad. Dr. Vithalrao Vikhepatil Medical College, Ahmednagar, INDIA.